Organization · Type 2 NPI

Maryview Hospital

Obstetrics & Gynecology Physician · Portsmouth, VA

NPI number 1104851104 Active

Practice location

1040 University Blvd Ste 205
Portsmouth, VA 23703-2650

Call (757) 484-2272 Map

Fax (757) 484-4620

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7 other providers at this address

Other obstetrics & gynecology physician providers in Portsmouth

Maryview HospitalObstetrics & Gynecology Physician Portsmouth, VA NPI 1619993292

See all in Portsmouth →

NPI record

NPI: 1104851104
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: May 29, 2019
Status: Active
Subpart: Yes of Maryview Hospital

Other names

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Western Branch Ob/gyn · doing business as
Western Branch Ob/gyn · doing business as

Authorized official

Stephan Quiriconi
CFO
(804) 281-8301

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104851104

Maryview Hospital's National Provider Identifier is 1104851104, issued on Jul 11, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Portsmouth, VA. The record was last updated on May 29, 2019.